Doc. No.

P261123
GIS Data Center Revision 0

PTW Excavation Date of 09/1/2024

Issue
Approval Form Page Page 1 of 3

Permit to Work No: 3814 GPA PTW Approval No:

Location of Work: Outside OGS Excavation Certificate No: 2394

KEBL Department: Surface Facilities

KEBL Contractor Holder: Lan Tao
Contractor / Company Name DOCG
 Doc. No. P261123
GIS Data Center Revision 0

PTW Excavation Date of 09/1/2024

Issue
Approval Form Page Page 2 of 3

Contractor PTW Coordinator’s

ptw-docg-b9@docgi.cn
Email:
Contractor PTW Coordinator’s
Name:

Excavation Details Length: 75 Width: 1 Depth: 1.6

ERW Banksman Required ☑ YES ☐ NO
U/G Detection Report
Completed
☑ YES ☐ NO

1. Scope of Work: Brief description and reason for excavation

Excavate the trench outside CPF for lowering Pipe-Line

2. Supporting documents & Findings:

Attachments: Findings:
☐ ALL in ONE map ☐ Under Ground wires & cables
☐ Aerial Photo
☐ Under Ground pipes
☑ CAD File
☐ Coordinates ☐ Under Ground sewers
☑ U/G Facilities Detection Report
☐ Others (Specify)

3. Objections or Concerns raised by Stakeholders:

4. Stakeholders Approvals:

Reviewed By: Name: Signature: Date:

 Doc. No. P261123
GIS Data Center Revision 0

PTW Excavation Date of 09/1/2024

Issue
Approval Form Page Page 3 of 3

KEBL Contract Holder Lan Tao 26-01-2024

KEBL Site Supervisor

ERW Specialist Jasim Alhassan 26-01-2024

GIS Specialist Mustafa Talib

26-01-2024